Sunday, November 8, 2009

Obesityhelp.com revision Forum information

I am not sure what has happened over the last two weeks or so, but I have received a number of inquiries from patients that had questions about revision of their RNY or the Lap Band® for weight regain, inadequate weight loss or other complications.

I finally had to ask one of them as to where did he get his information and hear about us? His source of information was obesityhelp.com website.

I have spent some time looking over and responding to some the posting on the forum sites. There were a number of publication that I have referred to in some of my postings on the obsityhelp.com.

Nishie et.al. (Obesity Surgery, 17, 2007 1183-1188) reported:
“Pouch size area, measured by routine UGI on the first postoperative day does no influence short term postoperative weight loss. “

Cottam et.al. (Obesity Surgery 2009, 19:13-17) concluded:
“The level of restriction or the presence of stenosis achieved by different stapler sizes does not have a significant role in weight loss.”

O’Connor et.al. (Surgery for Obesity and Related Dis. 4(2008) 399-403) summarizes:
“With restriction of divided, vertical, lesser curvature based small-volume =<20 cm3 gastric pouches, the actual size of the gastric pouch did not correlate with the % EBWL at the 1 year after laparoscopic GB.

I am a firm believer that the best patient is the most knowledgeable patient. It is always safer to spent as much time as needed to ask questions, and investigate all the options. If I can provide any information please contact us at info@dssurgery.com

Ara Keshishian, MD, FACS, FASMBS.

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